Individual
MISS DYANA TOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 LAKEWOOD RD, WATERBURY, CT 06704-5408
(888) 793-3500
Mailing address
472 S MAIN ST APT 11, NEW BRITAIN, CT 06051-3548
(860) 929-8748
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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